Individual provider · Type 1 NPI

Lauren Deatherage, PHARM D

Pharmacist · Fort Gibson, OK

NPI number 1528537230 Active

Practice location

1201 S. Lee Street
Fort Gibson, OK 74434-7443

Mailing address

PO Box 967
Fort Gibson, OK 74434-0967

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X15189 (OK)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1528537230

Lauren Deatherage, PHARM D's National Provider Identifier is 1528537230, issued on Nov 26, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Gibson, OK. The record was last updated on Nov 26, 2018.